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NPI Code Detail

MEDICARE: MRS. LEAH K DANIELS MSN, APRN-BC

MEDICARE: MRS. LEAH K DANIELS MSN, APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner13072TN
2363L00000XNurse PractitionerAPN013072TN

General Provider Information

NPI Number : 1487837928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEAH K DANIELS MSN, APRN-BC
Provider Business Mailing Address
First Line : 778 LIBERTY RD
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9300
Country : US
Telephone Number : 601-914-9620
Fax Number : 601-914-9620
Provider Business Practice Location Address
First Line : 778 LIBERTY RD
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9300
Country : US
Telephone Number : 601-914-9620
Fax Number : 601-914-9620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2007
Last Update Date : 01/09/2024

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